Motor Speech Intervention

Question 1

Apraxia intervention: Approach, Why and how

Answer 1

Integral Stimulation

• Watch me
• Listen to me
• Say it with me
• Say it again

Establish a motor plan and engrain neuralpathways necessary for producing speech sounds.

‘bilabials’ with someone with a severe verbal dyspraxia is because they are easy to see, and thus easier to imitate

Question 2

Goal for speech intervention

Answer 2

“maximize the effectiveness, efficiency, or
naturalness of communication”

1. Restoring lost function
2. Promoting the use of residual function (compensation)
3. Reducing the need for lost function (adjustment)

Question 3

Difference between restoration and compensation

Answer 3

Restoration: aims to reduce impairment and restore
functions
Compensation: may be a focus when full restoration of body structure and function is not possible or expected

Question 4

Duffy’s approached to MS intervention?

Answer 4

1. Medical interventions (surgical, drugs)
2. Prosthetic management (includes amplification devices, pacing boards)
3. Behavioural management
4. Augmentative and alternative communication (AAC)
5. Counseling and support

Question 5

Respiration Tx

Answer 5

Required if unable to sustain consistent air pressure for 5 seconds.

• Semi occluded vocal fold tract (SOVT) (Straw therapy)
• Body positioning

Question 6

Phonation Tx

Answer 6

• LSVT

Question 7

Articulation Tx

Answer 7

• Rate Reduction

- Minimal Pairs

Question 8

Prosody Tx

Answer 8

.

Question 9

Speaker Strategies

Answer 9

 Getting attention
 Reducing rate
 Setting context
 Word choice (semantics and syllable structure)
 Scheduling conversations
 Use of amplifiers, pacing board etc

Question 10

Listener Strategies

Answer 10

 Pay attention
 Look at the speaker
 Reduce distractions
 Be specific when requesting clarification
 Ask yes/no questions
 Ask forced choice questions
 Ask about ways to help
 Make sure AAC/MMC options are available

Question 11

Environmental Strategies

Answer 11

 Noise
 Lighting
 Proximity
 Consider acoustics

Question 12

Measurements for goals

Answer 12

• Number of requests for clarification
• % intelligibility
• level of prompting
• ## maintain a volume of 50dB

Question 13

Knowledge of performance vs knowledge of results

Answer 13

• Knowledge of Performance:
  ○ How did you do? Specific feedback on how they went (That was clear, that was croaky, I could see thatyou used a lot more effort in that one, I could hear a very gentle onset to that one, I could see you held your breath for that one. I could see you took a little breath there, can you see if you can let it out before you started.
  
  • Knowledge of Results:
    ○ Yes it’s right, no it’s not